Provider Demographics
NPI:1588172951
Name:PINA, WILLIAM (RBT)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:PINA
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15638 SW 85TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-1214
Mailing Address - Country:US
Mailing Address - Phone:786-370-9277
Mailing Address - Fax:
Practice Address - Street 1:15638 SW 85TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-1214
Practice Address - Country:US
Practice Address - Phone:786-370-9277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-18
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty